Highland Park Medical Center, PLLC
Family Medicine in Highland Park, MI. Organization (NPI-2).
NPI number1023305026
StatusActive
Last updated in NPPESJun 29, 2011
Details
- NPI
- 1023305026
- Entity type
- Organization (NPI-2)
- Legal business name
- Highland Park Medical Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2011
- Last updated
- Jun 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
15119 Woodward AveHighland Park, MI 48203-2907
Phone 313-865-2020
Mailing address
15119 Woodward AveHighland Park, MI 48203-2907
Phone 313-865-2020
Authorized official
Sunitha Nambiar
Medical Director
3138652020
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